Dental
Sivaraman, Sudarvizhi
Sivaraman, Sudarvizhi was paid $56K by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoSIVARAMAN, SUDARVIZHI
GROSSE POINTE WOODS, MI 48236
GROSSE POINTE WOODS, MI 48236
33aNPI1972028488assigned 08/04/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$56K
24GClaims1,811
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#480 of 1,554
Median peer was paid$15K
This provider vs. median3.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 117 | $5K | |
| 2019 | 1,608 | $49K | |
| 2020 | 86 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 269 | 269 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 313 | 312 | $8K |
| D1110 | Prophylaxis - adult | 14% | 170 | 165 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 63 | 40 | $8K |
| D1351 | Sealant - per tooth | 13% | 245 | 66 | $7K |
| D1206 | Topical application of fluoride varnish | 7.0% | 204 | 204 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 190 | 188 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 4.0% | 34 | 34 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 60 | 56 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 195 | 154 | $2K |
| D0274 | Bitewings - four radiographic images | 1.6% | 25 | 25 | $888.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 43 | 43 | $781.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.